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About the Role
The Senior Revenue Cycle Analyst (CA) supports regional revenue cycle operations for Shriners Children’s California locations. This role involves advanced data analysis, denial trending, performance reporting, and resolving complex pre-bill edits to improve clean claim rates, reduce denials, and optimize net revenue.
Responsibilities
- Lead advanced analysis of denials, pre-bill edits, and payer trends to identify systemic issues and quantify financial impact.
- Partner with Revenue Cycle Manager to prioritize initiatives based on risk exposure, revenue opportunity, and operational performance gaps.
- Conduct comprehensive root cause analysis and lead the development and monitoring of corrective action plans to prevent recurring denials and claim edits.
- Present findings and strategic recommendations to leadership, translating complex analytics into clear operational direction.
- Serve as subject matter expert for enterprise-wide revenue cycle improvement initiatives, driving data-informed process redesign and denial prevention strategies.
Requirements
- 5 or more years of revenue cycle experience
- Strong proficiency in Excel and revenue cycle reporting tools
- Demonstrated ability to analyze complex datasets and translate findings into operational recommendations
- Knowledge of billing, coding, payer reimbursement methodologies, and denial workflows
- Bachelor's Degree or equivalent combination of education, training and experience
- Epic EMR experience
- Experience with denials management
Skills
- Excel
- Revenue cycle reporting tools
- Data analysis
- Billing
- Coding
- Payer reimbursement methodologies
- Denial workflows
- Epic EMR
- Denials management
Location
- California
Work Type
- Full-time
Experience Level
- Senior
- 5+ years
Education Level
- Bachelor's Degree
Salary/Compensations
- $80,912.00 - $121,388.80
About the Company
- Shriners Children’s is an organization that respects, supports, and values each other.
- Named as the 2025 best mid-sized employer by Forbes.
- Engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact.
- Foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking.
- Compassion, integrity, accountability, and resilience define us as leaders in pediatric specialty care for our children and their families.
- With 20+ hospitals, outpatient clinics, ambulatory care centers and outreach locations across the globe, we provide excellent care to children up to age 18 regardless of their family’s ability to pay or insurance status.